Dr. Debra Goldson-Prophete, MD
20 Valley Road, Suite 320, South Orange, NJ 07079 • +1-909-555-8424
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & South Orange Percentiles
NPI #1831156819 • CBSA Regional • Internal Medicine
Anchored in South Orange, NJ 07079, Dr. Debra Goldson-Prophete, MD (NPI 1831156819) logged 4,353 annual procedures (upper-quartile active clinical volume (66.67th South Orange percentile), 88.41th NJ percentile, +0.27σ) with sub-specialty concentration in 47 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1831156819 highlights 1902 annual claims for 99214 (66.67th South Orange percentile; $127–$175 self-pay corridor) plus 1099 encounters under 99213 and 549 under 93000.
For out-of-network patients contacting +1-909-555-8424, Dr. Goldson-Prophete's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.74/5 composite reality score over 9 submissions).
From 20 Valley Road, Suite 320 in South Orange (+1-909-555-8424), Dr. Goldson-Prophete, MD (22-year clinical track record) delivers 47 Active CMS HCPCS Codes care.
Compared against South Orange, NJ Internal Medicine peers
4,353 annual services across 222 beneficiaries
Standard deviations from NJ Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 1,902 | 66.67th | $127 – $175 |
| 99213 | Established Preventive & Chronic Care Visit | 1,099 | 68.67th | $97 – $134 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 549 | 62.67th | $47 – $64 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 423 | 67.67th | $150 – $205 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 254 | 71.67th | $177 – $243 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (47 HCPCS billing breadth) | 127 | 66.67th | $115 – $167 |
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Dr. Debra Goldson-Prophete, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Goldson-Prophete National Provider Identifier | NPI #1831156819 (MD) | CMS NPPES Registry (07079) |
| Dr. Goldson-Prophete South Orange CMS Volume Rank | 66.67th Pct (4,353 CMS svcs; Z +0.265σ) | CMS Medicare Part B (NJ Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (South Orange, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.55/5 Listening • 4.48/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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